2019
DOI: 10.1101/mcs.a004259
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Divergent clonal evolution of a common precursor to mantle cell lymphoma and classic Hodgkin lymphoma

Abstract: Clonal heterogeneity and evolution of mantle cell lymphoma (MCL) remain unclear despite the progress in our understanding of its biology. Here, we report a 71-yr-old male patient with an aggressive MCL and depict the clonal evolution from initial diagnosis of typical MCL to relapsed blastoid MCL. During the course of the disease, the patient was diagnosed with classic Hodgkin lymphoma (CHL) and received a CHL therapeutic regimen. Molecular analysis by next-generation sequencing of both MCL and CHL demonstrated… Show more

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Cited by 9 publications
(3 citation statements)
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“…A spectrum of background ranging from minimally associated inflammatory cells to a cHL-like mixed inflammatory population is reported [43]. Moreover, combined MCL and cHL lymphoma is also described and a divergent clonal evolution from a common precursor has been hypothesized [43,44], leading to RSLC in MCL and/or RSC in cHL combined with MCL because of EBV infection, acquisition of additional genetic aberrations such as PD-L1/2 amplification, and certain mutations such as TP53 [44,45] (Supplementary Table S2).…”
Section: Histological Findings and Immunophenotypementioning
confidence: 99%
“…A spectrum of background ranging from minimally associated inflammatory cells to a cHL-like mixed inflammatory population is reported [43]. Moreover, combined MCL and cHL lymphoma is also described and a divergent clonal evolution from a common precursor has been hypothesized [43,44], leading to RSLC in MCL and/or RSC in cHL combined with MCL because of EBV infection, acquisition of additional genetic aberrations such as PD-L1/2 amplification, and certain mutations such as TP53 [44,45] (Supplementary Table S2).…”
Section: Histological Findings and Immunophenotypementioning
confidence: 99%
“…The etiology and pathogenesis of composite lymphoma are complex and variable. Several theories have been presumed including clonal selection, genomic instability, or common precursor cell [ 11 ]. The actual origin of the composite of MCL with HL is still unclear.…”
Section: Discussionmentioning
confidence: 99%
“…NOTCH family members express in a variety of different tissues and play roles in a variety of developmental processes by controlling cell fate decisions. The gene fusion of SEC22B‐NOTCH2 has been confirmed in aggressive breast cancers and mantle cell lymphoma (Tashkandi et al, 2019; Veeraraghavan, Ma, Hu, & Wang, 2016). This gene fusion displays enhanced activation of the NOTCH pathway to promote the proliferation and survival of tumor cells (Robinson et al, 2011).…”
Section: The Roles Of Sec22b In Human Diseasesmentioning
confidence: 97%